Individual
MARK WAYNE MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCHIS
Contact information
Practice address
3801 GENERAL ELECTRIC RD STE 1, BLOOMINGTON, IL 61704-4193
(309) 662-9552
(309) 662-9377
Mailing address
3801 GE RD STE 1, BLOOMINGTON, IL 61704-4193
(309) 662-9552
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
037-0365
IL
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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